In most cases, men are faced with chronic congestive prostatitis, the development of which is caused by impaired blood circulation and thickening of prostate secretions. This form of inflammation is considered a disease of older men. In approximately 20% of cases, patients in urological clinics are diagnosed with bacterial prostatitis - an acute form of inflammation of the prostate, which does not depend on age and is caused by the action of pathogenic microorganisms.
Causes of bacterial prostatitis
As it becomes clear from the name of the diagnosis, the cause of the disease are bacteria that enter the prostate by lymphogenic or hematogenous means.
Prostate infection through lymph flow occurs with the development of various inflammatory diseases of the genitourinary system.
Bloodstream infection enters the prostate in the background of severe infectious diseases such as influenza, acute tonsillitis or pneumonia.
Most often pathogenic microorganisms enter the prostate through the urethra. The infection occurs in the background of diseases of the genital organs.
With bacterial prostatitis, the causes lie in the action of pathogenic microbes, but the general condition of the organism is not of small importance, because the disease develops only with reduced immunity. Reasons for weakening of the body's protective function:
- hypothermia;
- vitamin deficiency due to unbalanced diet;
- antibacterial therapy;
- stress;
- hypodynamics;
- chronic focus of infection;
- bad habits;
- prolonged sexual abstinence;
- promiscuous sex.
The disease is characterized by acute symptoms that increase rapidly. Unlike congestive prostatitis, bacterial inflammation is age-independent and occurs in young men.
Types of diseases
Bacterial prostatitis differs according to the type of pathogen and the degree of involvement of prostate tissue in the inflammatory process.
Staphylococcus aureus most commonly provokes prostatitis. This form of the disease is characterized by the formation of abscesses in the prostate tissue, followed by a rise in temperature and discharge of pus from the urethra or anus. This form of the disease can be a complication of the flu, pneumonia or a consequence of the presence of a chronic focus of infection in the body.
Among the conditionally pathogenic microorganisms that cause prostatitis, E. coli and Pseudomonas aeruginosa take the first place in prevalence. This form of the disease develops against the background of reduced immunity. Pathogenic microorganisms enter the prostate via the lymphogenic route.
Chlamydial prostatitis is a consequence of promiscuous sex. Chlamydia infection from a partner is asymptomatic, however, in the background of reduced immune defense, bacteria can enter the prostate, causing inflammation.
One of the most severe forms of bacterial prostatitis is fungal or candidal inflammation. It develops by the penetration of the fungus Candida into the prostate. The disease develops slowly and may not manifest with live symptoms for a long time. The fungal form of inflammation often turns into chronic prostatitis.
Treatment of abacterial prostatitis caused by fungal microflora requires an integrated approach, because fungi quickly develop resistance to antifungal agents.
Candida does not show its presence for a long time and is difficult to treat.
Acute bacterial prostatitis may be accompanied by the formation of purulent foci. There are several types of disease, according to the degree of involvement of prostate tissue in the inflammatory process:
- catarrhal;
- follicular;
- parenchymal; prostate abscess.
Catarrhal form is characterized by inflammation of the walls of the prostate canal. It belongs to milder forms of inflammation and is successfully treated with antibiotics for a week and a half.
Follicular prostatitis is accompanied by the formation of abscesses in the glandular tissue. This form of the disease is manifested by high fever, but is quite effectively treated with antibiotics.
In inflammation of the parenchyma, the pathological process spreads to the entire organ. At the same time, the prostate increases in size, its contours change and edema develops. In the absence of timely treatment, this form of the disease can develop into chronic prostatitis.
A prostate abscess is the formation of a cavity filled with pus. Due to the abscess there is a high temperature and symptoms of intoxication. When the abscess erupts, there is immediate relief, but the entry of purulent contents into the general bloodstream can lead to sepsis. This form of the disease is characterized by acute pain syndrome, high body temperature and severe intoxication of the body. The abscess is opened surgically.
These types of diseases are also stages in the development of acute bacterial prostatitis. In the absence of timely treatment, one phase passes into another, symptoms worsen, and the risks of complications increase.
Symptoms of the disease
The symptoms of bacterial prostatitis depend on the stage of the inflammatory process. The initial stages of the disease are characterized by the following symptoms:
- pain in the bladder area;
- frequent need to use the toilet;
- pain after urination;
- general malaise.
As bacterial prostatitis progresses, symptoms worsen. Body temperature rises, the pain syndrome increases, and urination problems worsen.
In severe cases, severe intoxication is possible, followed by nausea and vomiting, loss of strength and dizziness. Body temperature can rise to 40 ° C.
The frequency of calling the toilet can be up to 10 times per hour. In this case, the man feels the fullness of the bladder, after urination there is no relief.
In severe cases, acute urinary retention may develop. This is accompanied by a feeling of stretching of the bladder with the complete impossibility of emptying it. This complication is very dangerous and requires hospitalization with subsequent catheter placement.
Frequent urination is caused by compression of the bladder by an inflamed prostate.
Why is prostatitis dangerous?
The risk of bacterial prostatitis is the risk of pelvic infection. If the urine is damaged, it is possible to vomit urine, which leads to a kidney infection. This condition is called pyelonephritis and is difficult to treat.
One of the most common complications of bacterial prostatitis is cystitis, which becomes chronic. The disease is characterized by inflammation of the bladder mucosa and is accompanied by frequent urges, cramps and pain in the bladder, hematuria.
Untimely or inadequate treatment of bacterial prostatitis can lead to chronic disease. If acute bacterial prostatitis is successfully treated with antibiotics, the treatment of chronic disease is exacerbated by periodic worsening of symptoms, which occurs against a background of reduced immunity.
Acute bacterial prostatitis can cause infertility and impotence.
The most dangerous complication is the eruption of an abscess into the prostate cavity. Purulent masses with blood and lymph flow are transmitted through the pelvic organs, causing inflammation of the rectum, bladder and kidneys. In severe cases, rupture of the abscess can lead to sepsis.
Diagnosis of the disease
The primary prostate examination is a digital examination (rectal palpation). If bacterial prostatitis is suspected, when the patient has symptoms of intoxication and high fever, prostate massage is not performed to avoid the risk of worsening symptoms.
Diagnosis is based on ultrasound or TRUS. Treatment of bacterial prostatitis depends on the type of inflammatory agent. For this purpose, it is necessary to analyze the secretion of the prostate. Since rectal examination of the prostate is prohibited in acute inflammation, urine is taken for bacteriological analysis of the cause of prostatitis. It is also necessary to pass a general and biochemical blood test.
Based on the results of the urine analysis, the doctor selects antibiotics and bactericidal drugs to treat prostatitis.
Treatment of bacterial prostatitis
How to treat bacterial prostatitis depends on the type of pathogen. The choice of antibiotic therapy for prostatitis is made depending on the sensitivity of pathogenic agents to the action of certain drugs.
Antibiotic treatment can be supplemented with rectal suppositories - these are antibacterial and anti-inflammatory suppositories used for prostatitis.
Non-steroidal anti-inflammatory drugs, antipyretic drugs with anti-inflammatory action, antispasmodics help reduce the signs and symptoms of bacterial prostatitis. These drugs do not cure prostatitis, but they can relieve pain and ease the course of the disease.
Folk remedies
Having discovered how to cure prostate from bacterial prostatitis with the help of drugs, many will be interested in the possibility of alternative treatment.
Among the effective methods of treating prostatitis with folk remedies, the most effective are rectal suppositories with propolis. You can cook them yourself. To do this, dissolve 200 g of cocoa butter in a water bath and add 40 g of crushed propolis. The means are boiled until the propolis dissolves and the mass acquires a uniform color and consistency. The drug is then cooled in a refrigerator, previously creating a cone of mass, using a transparent foil. After cooling, the cone is cut into small torpedoes, about 2 cm in diameter and 4 cm long. Suppositories are stored in the refrigerator, used twice a day - morning and evening. The course of treatment lasts two weeks.
Walnuts and pumpkin seeds can speed up your recovery. To prepare the medicine, grind 100 g of nuts and peeled raw seeds in a coffee grinder, then mix with a glass of honey. From the obtained mass, balls with a diameter of about 2-3 cm are made. You need to eat 3 of these balls a day.
Men are also encouraged to eat walnut kernels with honey. To prepare the remedy, a glass of chopped nuts is mixed with honey and insisted for three days in the refrigerator. Then the drug is taken three tablespoons a day.
Prevention
Bacterial prostatitis is a dangerous disease that can become chronic. In most cases, timely treatment can successfully get rid of the disease, but no man is immune from a recurrent episode of prostatitis. To prevent the development of bacterial prostatitis, you must:
- dress for time;
- avoid hypothermia;
- treat all infectious diseases in time;
- protects each other during intercourse.
For long-term antibiotic or corticosteroid therapy, consult your doctor about how to prevent deterioration of the immune system.
You should pay attention to your own immunity, because the weakening of the body's protective function leads to the development of an acute inflammatory process in the prostate. For this purpose, it is recommended to drink a course of vitamins designed specifically for men annually, monitor your diet and avoid stress.